Meeting will start shortly, please stand by! Welcome! A Few - - PowerPoint PPT Presentation

Collaborative Meeting October 2, 2020

Meeting will start shortly, please stand by!

Welcome!

A Few Housekeeping Notes:

• It’s Great to “see” you all today, we can’t wait to REALLY see you!
• We will be recording all presentations today
• Everyone will be on mute with no video
• Use the Chat function to ask questions
• Bathroom/coffee break at 10:35

• Participation points and CME will be offered to all SCQRs who view

all four sessions (3 live today and 1 pre-recorded)

• Pre-recorded session available on our website
• Once you have attended or viewed all four sessions, please

complete an evaluation of the sessions to confirm completion and claim your CME/CEU credits, instructions will be sent by email after this meeting.

• The deadline for completing this process is November 16, 2020 in
• rder to receive the points & CME.
• The SUCCESS Study meeting will immediately follow the last

speaker, please take a short break and remain on the zoom, we will unmute you so you can participate.

Wor

• rk of

k of the MSQ SQC Impacting P Pop

• pula

lation ions

10 20 30 40 50 60

Opioid prescription size (# 5 mg Oxycodone tablets) Michigan Control states (IN, KY)

IN 7 day limit MI 7 day limit

Racism Health Behaviors

DESIGNING IMPACTF TFUL UL QI FOR T THE FUTUR URE

• Smoking cessation at every clinical encounter
• Activity counseling at every clinical encounter
• Social determinant screening and referral at every encounter
• Anti-racist and population health focus of every clinical

presentation

• System-wide expansion metrics regarding % Medicaid patients will

serve

Referral to surgery Surgical consult Surgery Follow up Discharge Surgical Care Ends

What if instead of surgical care looking like this…

Surgical consult Surgery Follow up Discharge Health Screening Smoking SDOH Screening Diet Activity Obesity Mental Health Cessation Referral Dietician, diet plan Structured exercise program Weight loss, bariatric eval Psychology, CBT referral Health Improvement Continues Surgical Care Ends

It looked like this?

Referral

Demand payment for these measures….

Prehab Interest Survey

• SCQRs
• Surgeon Champions
• Anesthesia providers
• Any person involved in care leading up to day of

surgery.

• Purpose: Assess needs for health behavior

interventions in preoperative period. 5-10 minutes.

• Email to come. Share with anyone! Help us serve

you!

Take the survey now! Point your camera app at the QR code and select the link.

Accountability for Cancer Care through Undoing Racism and Equity (ACCURE)

2020 QI Updates and 2021 Quality Improvement Initiatives

2020 Performance Index – Review

Collaborative Wide Measure – 20 points available

• Increasing the response rate to the PRO at 30 days
• Focusing on 4 questions
• Goal >45% average for ALL sites to receive the total 20 points
• Currently= 65.7% 

2020 Performance Index – Review

Quality Improvement Implementation Project Sites chose 2 procedure groups 5 goals Goal #1: 90% of discharge prescriptions at or below the M-OPEN prescribing recommendations

2020 Performance Index – Review

Quality Improvement Implementation Project (continued) Goal #2: Meet 80% compliance on performance metrics

• Preadmission & Postop pain management teaching
• Pre/intraoperative/Postop multimodal pain

management

2020 Performance Index – Review

Quality Improvement Implementation Project (continued) Goal #3: Maintain or improve surgical site pain scores

• Based on the % of mild pain scores (0-3) reported at 30

days post-surgery

2020 Performance Index – Review

Quality Improvement Implementation Project (continued) Goal #4: Enter complete discharge prescription information for ALL MSQC procedures

2020 Performance Index – Review

Quality Improvement Implementation Project (continued) Goal #5: Complete project report (tracking sheet with narrative), and include the following:

• Preop and postop education materials to address pain

management

• Documented order set or practice model for providing

intraoperative pain management 2020 Project report due to MSQC Coordinating Center by 3/15/2021

2020 Box Reports

Currently available in your Box folders:

• Includes completed cases
• Measurement period data for Goals #2 and #3 included
• Data through 7/31/2020
• October report release in the next few weeks, with data

through 9/30/2020

Quality Improvement Initiatives for 2021 Will offer 3 options:

#1 Colorectal Cancer Project

• Includes colorectal cancer measures and need for improvement with

those measures

• Must currently be collecting CRC variables

#2 Major Hernia Care Pathway

• Includes preop, intraop, postop and hernia-specific measures

#3 Hysterectomy Care Pathway

• Includes preop, intraop, postop and hysterectomy-specific measures

2021 Scorecard and QI Projects

• New collaborative-wide measure for 2021 – Increase use of

intraoperative multimodal pain management for all MSQC case types

• 2021 QI projects submitted to BCBSM on 9/25/2020
• Waiting for approval
• After Coordinating Center receives final approval from BCBSM, we

will share project descriptions and PI scorecard with all sites

What's Next…

• Data reports will be uploaded to Box folders in October
• Review data reports within 1-2 weeks of release to submit any case edit

requests that may be needed

• Once approved by BCBSM, the Coordinating Center will release the final

2021 QI Project options

• Continue doing the amazing work of gathering the 30 day PROs for the

CWM

• Continue working on the 2020 QI Measures
• Any questions, please reach out to Coordinating Center

SUCCESS Study Surgical Urinary Catheter Care Enhancement Safety

• Dr. Jennifer Meddings